Tri County Dermatology Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

34003166 Issued in OH

Legal business name

TRI COUNTY DERMATOLOGY INC

Practice address

421 Graham Rd
Suite C
Cuyahoga Falls, OH 44221-1344

Phone

(330) 929-9009

Fax

(330) 929-6264

NPI assigned

Jul 22, 2005

Last updated

Feb 26, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Schield Martin Wikas, DONPI 1174544068

Title

Owner/General Partner

Phone

(330) 929-9009

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Schield M Wikas, D.O.

  • Procedural Dermatology Physician
  • Canton, OH
  • NPI 1174544068
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1962402776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 MUNSON ST NW STE C",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182978",
            "telephone_number": "330-492-2327",
            "fax_number": "330-492-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 GRAHAM RD",
            "address_2": "SUITE C",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211344",
            "telephone_number": "330-929-9009",
            "fax_number": "330-929-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "WIKAS",
        "authorized_official_first_name": "SCHIELD",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER/GENERAL PARTNER",
        "authorized_official_telephone_number": "330-929-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34003166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy A. Torcasio, PH.D.
• Total Family Practice Inc
• Michelle Marie Travagliante, NP
• Travel Net Transit LLC
• Tri County Dermatology Inc
• Triad Center
• Thien Truong
• Thomas Jay Tsai, MD
• Tubbs Chiropractic LLC
• Dan Garth Tubbs, DC

• Dermatology Physician in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.